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1154805257
MARC JEZER CHAN GEBALA
SANTA ANA, CA
NPI
1154805257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA F10170122)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
MARC JEZER CHAN GEBALA
1241 E DYER RD STE 145
SANTA ANA, CA 92705-5694
Phone number: 949-538-2073
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Mailing Address
MARC JEZER CHAN GEBALA
535 W FOOTHILL BLVD UNIT 102
GLENDORA, CA 91741-2452
Phone number: 626-841-1660
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